Individual provider Active NPI

Bianca Newman, DDS, MS

  • Periodontics
  • Orlando, FL
National Provider Identifier
1043753577
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN23104 Issued in FL
Practice address
12711 Narcoossee Rd Ste 100
Orlando, FL 32832-6991
Phone
(407) 627-1235
NPI assigned
Dec 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DN123694 GA
Periodontics 1223P0300X DN23104 FL Primary

Addresses

Primary practice location

12711 Narcoossee Rd Ste 100
Orlando, FL 32832-6991

Mailing address

8133 Gray Kingbird Dr
Winter Garden, FL 34787-4919
Phone (407) 758-3524

Other practice location 1

4250 Roswell Rd Ste 110
Marietta, GA 30062-8114
Phone (770) 509-5585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190819003940 FL Order and Referring Only - DentistPractitioner - Dentist 6507194206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DN23104FLMDPeriodontist
DN123694GAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Nona Dentists, PA Past Accepting new patients
Johnson Ferry Dentistry, PC Past Accepting new patients
Amp Oral and Maxillofacial Surgery, PA Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1480550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1043753577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8133 GRAY KINGBIRD DR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874919",
            "telephone_number": "407-758-3524",
            "fax_number": "407-758-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12711 NARCOOSSEE RD STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328326991",
            "telephone_number": "407-627-1235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4250 Roswell Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300628114",
            "country_code": "US",
            "telephone_number": "770-509-5585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "BIANCA",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-01",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "GA",
            "license": "DN123694",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN23104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.